Expert consensus on prevention and cardiopulmonary resuscitation for cardiac arrest in COVID-19

被引：1

作者：

Song, Wei ^{[1
]}

Wei, Jie ^{[2
,3
]}

Jian, Xiangdong ^{[4
]}

Wang, Deren ^{[5
]}

Ouyang, Yanhong ^{[1
]}

Liu, Yuanshui ^{[1
]}

Du, Xianjin ^{[6
]}

Chen, Ying ^{[7
]}

Zhang, Yingqi ^{[7
]}

Xu, Heping ^{[1
]}

Xianyu, Shuming ^{[8
]}

Ning, Qiong ^{[9
]}

Li, Xiang ^{[10
]}

Han, Xiaotong ^{[10
]}

Zhan, Feng ^{[1
]}

Yu, Tao ^{[11
]}

Chen, Wenteng ^{[1
]}

Zhang, Jun ^{[1
]}

Cai, Wenwei ^{[12
]}

Zhou, Sheng'ang ^{[12
]}

Yi, Shengyang ^{[1
]}

Cao, Yu ^{[13
]}

Chen, Xiaobei ^{[14
]}

Xu, Shunjiang ^{[15
]}

Liang, Zong'an ^{[16
]}

Wu, Duohu ^{[17
]}

Ai, Fen ^{[18
]}

Wang, Zhong ^{[19
]}

Meng, Qingyi ^{[20
]}

Mi, Yuhong ^{[21
]}

Zhang, Sisen ^{[22
]}

Yang, Rongjia ^{[23
]}

Yan, Shouchun ^{[24
]}

Han, Wenbin ^{[25
]}

Lin, Yong ^{[26
]}

Qian, Chuanyun ^{[27
]}

Zhang, Wenwu ^{[28
]}

Xiong, Yan ^{[29
]}

Lv, Jun ^{[30
]}

Liu, Baochi ^{[31
]}

Cao, Yan ^{[10
]}

He, Xiaojun ^{[32
]}

Sun, Xuelian ^{[33
]}

Cao, Yufang ^{[34
,35
]}

Zhou, Tian'en ^{[36
]}

机构：

[1] Hainan Med Univ, Hainan Affiliated Hosp, Hainan Gen Hosp, Dept Emergency Med, Haikou 570311, Hainan, Peoples R China

[2] Wuhan Univ, Renmin Hosp, Emergency Dept, Wuhan 430060, Peoples R China

[3] Wuhan Univ, Renmin Hosp, Intens Care Unit, Wuhan 430060, Peoples R China

[4] Shandong Univ, Qilu Hosp, Cheeloo Coll Med Shandong, Dept Poisoning & Occupat Dis,Emergency, Jinan 250012, Peoples R China

[5] Sichuan Univ, West China Hosp, Ctr Cerebrovasc Dis, Dept Neurol, Chengdu 610041, Peoples R China

[6] Wuhan Univ, Peoples Hosp, Dept Emergency, Wuhan 430060, Peoples R China

[7] Hebei Med Univ, Hosp 1, Dept Emergency Med, Shijiazhuang 050030, Hebei, Peoples R China

[8] Hainan Gen Hosp, Hosp Infect Control Off, Haikou 570311, Hainan, Peoples R China

[9] Jinan Hosp, Dept Occupat Dis, Jinan 250013, Peoples R China

[10] Hunan Prov Peoples Hosp, Dept Emergency Med, Changsha 410005, Peoples R China

[11] Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Emergency Med, Guangzhou 510120, Peoples R China

[12] Zhejiang Prov Peoples Hosp, Dept Emergency Med, Hangzhou 310014, Peoples R China

[13] Sichuan Univ, West China Hosp, Dept Emergency Dept, Chengdu 610041, Peoples R China

[14] Wuhan Univ, Peoples Hosp, Dept Infect Dis, Wuhan 430060, Peoples R China

[15] Hebei Med Univ, Hosp 1, Dept Teaching Affairs, Shijiazhuang 050031, Hebei, Peoples R China

[16] Sichuan Univ, West China Hosp, Dept Pulm & Crit Care Med, Chengdu 610041, Peoples R China

[17] Hainan Med Univ, Hainan Affiliated Hosp, Hainan Gen Hosp, Med Serv Dept, Haikou 570311, Hainan, Peoples R China

[18] Cent Hosp Wuhan, Dept Emergency Med, Wuhan 430015, Peoples R China

[19] Tsinghua Univ, Tsinghua Changgung Hosp, Sch Clin Med, Beijing 102218, Peoples R China

[20] Chinese Peoples Liberat Army Gen Hosp, Med Ctr 1, Dept Emergency Med, Beijing 100853, Peoples R China

[21] Capital Med Univ, Beijing Anzhen Hosp, Emergency & Crit Care Ctr, Beijing 100029, Peoples R China

[22] Henan Univ Chinese Med, Zhengzhou Peoples Hosp, Peoples Hosp, Zhengzhou 450003, Peoples R China

[23] Gansu Prov Peoples Hosp, Emergency Dept, Lanzhou 730000, Peoples R China

[24] Shaanxi Univ Chinese Med, Xian 712046, Peoples R China

[25] Hanzhong City Peoples Hosp, Hanzhong 723000, Peoples R China

[26] Southwest Med Univ, Hosp TCM, Emergency Dept, Louzhou 646000, Peoples R China

[27] Kunming Med Univ, Affiliated Hosp 1, Dept Emergency Med, Kunming 650032, Yunnan, Peoples R China

[28] Peoples Hosp Baoan, Dept Emergency Med, Shenzhen 518101, Peoples R China

[29] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Emergency Med, Guangzhou 510080, Peoples R China

[30] Guangdong Gen Hosp Armed Police, Dept Emergency Med, Guangzhou 510507, Peoples R China

[31] Fudan Univ, Shanghai Publ Hlth Clin Ctr, Dept Surg, Shanghai 201514, Peoples R China

[32] Chinese Journal Emergency Med, Hangzhou 310009, Peoples R China

[33] Beijing Friendship Hosp, Dept Emergency Med, Beijing 100050, Peoples R China

[34] Haikou Municipal Peoples Hosp, Dept Crit Care Med, Haikou 570208, Hainan, Peoples R China

[35] Cent South Univ, Xiangya Med Coll, Affiliated Hosp, Haikou 570208, Hainan, Peoples R China

[36] First Peoples Hosp Foshan, Dept Emergency, Foshan 528000, Peoples R China

来源：

ASIAN PACIFIC JOURNAL OF TROPICAL MEDICINE | 2021年 / 14卷 / 06期

关键词：

CORONAVIRUS DISEASE 2019; MERS-COV; CRITICAL-CARE; TASK-FORCE; RISK; SARS; RECOMMENDATIONS; TRANSMISSION; GUIDELINES; EXPERIENCE;

D O I：

10.4103/1995-7645.315897

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Cardiopulmonary resuscitation (CPR) strategies in COVID-19 patients differ from those in patients suffering from cardiogenic cardiac arrest. During CPR, both healthcare and non-healthcare workers who provide resuscitation are at risk of infection. The Working Group for Expert Consensus on Prevention and Cardiopulmonary Resuscitation for Cardiac Arrest in COVID-19 has developed this Chinese Expert Consensus to guide clinical practice of CPR in COVID-19 patients. Main recommendations: 1) A medical team should be assigned to evaluate severe and critical COVID-19 for early monitoring of cardiac-arrest warning signs. 2) Psychological counseling and treatment are highly recommended, since sympathetic and vagal abnormalities induced by psychological stress from the COVID-19 pandemic can induce cardiac arrest. 3) Healthcare workers should wear personal protective equipment (PPE). 4) Mouth-to-mouth ventilation should be avoided on patients suspected of having or diagnosed with COVID-19. 5) Hands-only chest compression and mechanical chest compression are recommended. 6) Tracheal-intubation procedures should be optimized and tracheal-intubation strategies should be implemented early. 7) CPR should be provided for 20-30 min. 8) Various factors should be taken into consideration such as the interests of patients and family members, ethics, transmission risks, and laws and regulations governing infectious disease control. Changes in management: The following changes or modifications to CPR strategy in COVID-19 patients are proposed: 1) Healthcare workers should wear PPE. 2) Hands-only chest compression and mechanical chest compression can be implemented to reduce or avoid the spread of viruses by aerosols. 3) Both the benefits to patients and the risk of infection should be considered. 4) Hhealthcare workers should be fully aware of and trained in CPR strategies and procedures specifically for patients with COVID-19.

引用

页码：241 / 253

页数：13

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